MACKENZIE SUE RAE WHITESIDE
NPI 1831055219
Physical Therapist in Boulder, CO

Active since December 30, 2025
2150 STADIUM DRIVE, 2ND FLOOR, BOULDER, CO 80309(303) 315-9900(303) 315-9902 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mackenzie Sue Rae Whiteside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE SUE RAE WHITESIDE (NPI 1831055219) is an individual physical therapist in Boulder, Colorado, licensed in Colorado (PTL.0021024) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1831055219
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMACKENZIE SUE RAE WHITESIDE
Location Address2150 STADIUM DRIVE, 2ND FLOORBoulder, CO 80309-0001
Mailing Address6491 Crestbrook DrMorrison, CO 80465-2230 · (303) 642-6063
Fax(303) 315-9902
Sole ProprietorYes
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1831055219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CO · PTL.0021024
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

2150 STADIUM DRIVE, Boulder, CO 80309

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
2150 STADIUM DRIVE
BOULDER, CO 80309
Specialist/Technologist (Athletic Trainer)
2150 STADIUM DRIVE
BOULDER, CO 80309
Clinical Medical Laboratory
2150 STADIUM DRIVE
BOULDER, CO 80309
Specialist/Technologist (Athletic Trainer)
2150 STADIUM DRIVE
BOULDER, CO 80309
Clinic/Center (Physical Therapy)
2150 STADIUM DRIVE
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DRIVE
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DRIVE
BOULDER, CO 80309
Physical Therapist
2150 STADIUM DRIVE
BOULDER, CO 80309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831055219, enumerated as an "individual" on December 30, 2025.

The provider is located at 2150 STADIUM DRIVE 2ND FLOOR BOULDER, CO 80309 and the phone number is (303) 315-9900.

Physical Therapist with taxonomy code 225100000X.